Life Happens: When to Update your Benefits and Why Timing Matters
Life Happens: When to Update your Benefits (and Why Timing Matters)
Benefits aren’t set it and forget it. When major life events happen, your coverage (and who it covers) may need to be updated. Most insurers required changes to be reported within 31 days of the event – so acting quickly helps avoid delays, missing coverage or late applicant status.
For Plan Members (Employees)
Notify your Plan Administrator within 31 days if you experience:
Relationship Changes
· Marriage or Divorce
· Legal Name Change
New Family Members
· New baby, adoption, or blended/merging families (adding dependents)
Beneficiary Update
· If you need to change a beneficiary – or a beneficiary has passed away – update as soon as possible.
Dependent Eligibility Milestones
· When a child turns 21 (and may remain covered longer if in full-time post secondary education, depending on the insurer)
Loss of Coverage
· If you lose coverage under a spouse’s plan, notify your plan administrator right away to avoid issues and ensure timely enrollment
Quick Reminder
If something changes, tell your plan administrator – these are the kind of life events that can affect your employee group benefits.
For Employers (Plan Administrators)
· Set the expectation: changes must be reported fast
A simple rule to communicate during on boarding and in employee reminders:
Employees should notify the Plan Administrator within 31 days of a life event (marriage/divorce, new dependent, name change, beneficiary change, loss of spouse coverage, etc.).
· Onboarding rule: employees cannot waive all benefits
When enrolling new hires, employees may waive Health and Dental if they have alternate coverage (for example, through a spouse).
But they cannot waive all benefits: they must still participate in the pooled/core benefits (e.g., Life/AD&D/LTD etc.)
· Coming back onto Health & Dental later requires a qualifying event
If someone waives Health and/or Dental at onboarding due to spousal coverage, they typically cannot re-join mid-year just because they changed their mind. To enroll later, they generally need: A qualifying life event (like loss of spousal coverage), reported within the required time frame (often 31 days).









